Robert Kabutey

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

21909 Issued in MD

Practice address

6130 Baltimore Ave
Riverdale, MD 20737-1905

Phone

(301) 699-5004

Fax

(301) 699-0178

NPI assigned

Jul 4, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404432000000",
    "number": "1003222548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 BALTIMORE AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371905",
            "telephone_number": "301-699-5004",
            "fax_number": "301-699-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 BALTIMORE AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371905",
            "telephone_number": "301-699-5004",
            "fax_number": "301-699-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABUTEY",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-04",
        "last_updated": "2014-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "21909",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "0202212596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olufunmi Lola Johnson
• Brenton Jones
• Daniel Richard Jones, RCIS
• Marian Kolb Jones, CRNP
• Amarachi Jongo
• James Kadji
• Manraj Kalkat
• Ishmael Baimba Kamara Sr.
• Mamud Kamara
• Mohamed A Kamara

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.